Please enable JavaScript in your browser to complete this form. - Step 1 of 3Preschool Age Information SheetChild's Name *Birth DateAge GroupTwo (2) Year OldThree (3) Year OldFour (4) Year OldFive (5) Year OldAddressAddress Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParents/Guardian Name: Siblings Name and Age:. Pets Type and Name: Left Handed/Right Handed (Choose One)Left HandedRight HandedDoes your child use the following at home? (Please check all the apply) CrayonsBooksPen/PencilComputerMarkersIpodScissorsIpadPuzzlesSpoon/Fork/KnifeBalls/blocksPaintRide Tricycle/bikeFavorite Toys, Books, Songs, or Games: Please tell us about the things your child enjoys doing: Does your child play well with the other children? YesNoDoes your child have opportunities to play with other children? YesNoCheck All That ApplyIn diapersToilet trainedIn the process of being trainedNeeds bathroom assistanceCan you child identify: (Please circle all that apply)Body PartsColorsShapesNumbersLettersWhat would you like to see your child learn/do during this school year? Additional information that will help us to know your child better: NextItems Needed - Toddlers All items entering the facility cannot be open...MUST be brand new in original store packaging.Unopened items include: • Blanket • 4 Extra Clothing (Pants, shirts, socks) • Diapers/Pull-ups • Wipes • FAMILY PICTURENext to Layout Layout Items Needed - Preschool • Blanket • 4 Extra Clothing (Pants, shirts, socks) • FAMILY PICTURESubmit